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Change Management StrategiesGillian Leach, AAPMKatrina Otto, NEHTADavid Schofield, Department of Heath
23 June 2016
Are you currently using the My Health Record system?
Yes/No
Poll Question:
1. Discuss change management strategies
2. Develop tools to lead change
3. Find the motivators that work for your team
4. Prepare your practice for the future
5. Implement quality improvement activities
6. Analyse lessons learnt from Great Southern Project &NT shared eHealth record system.
Learning Objectives
Who thinks that being told
they have to do something
a different way is the best
thing that could ever
happen to them?
Poll Question:
1. Change Management Strategies
People experience change
Pe
rfo
rman
ce
Time
Change introduced
Pre-change performance
exceeded
What change management achieves
• Create a sense of urgency
• Form a powerful guiding coalition
• Create a vision
• Communicate the vision
• Empower others to act on the vision
• Plan for and create short-term wins
• Consolidate improvements and produce still more change
• Institutionalise new approaches
Devised by Professor John Kotter - http://www.kotterinternational.com/the-8-step-process-for-leading-change/8
Managing Transformational Change
2. Leading Change
Have the doctors or admin
staff in your practice ever
done anything that did not
make sense to you?
Poll Question:
Understanding the challenge
The view from the top
? Financial
? Time
? Risk minimisation
? Patient demand
3. Find benefits/motivators that work for your team
What have you found to
be motivators that work
for your staff?
Poll Question:
1. Integrating Healthcare Identifiers
2. Data Records and Clinical Coding
3. ePrescribing
4. Secure Messaging
5. Upload Shared Health Summaries to My Health Record for 0.5% of SWPE
New: - Upload requirement per quarter starting 1 May 2016
ePIP
Digital Health Incentive Payment
4. Prepare your practice for the future
• Progressive practices cannot ignore the digital health revolution.
• Increasingly competitive world for practices, we have to keep up!
• Promote your practice as modern and keeping up with digital
health and the most progressive health tools.
Medicare Online, eftpos terminals, online banking,
electronic pathology results, online appointments.
• Focus on the success stories & link to next change eg:
Remind everyone of those change success stories
Manage Change with positivity
It is a new era!
Patient view of their My Health Record
Prepare for success
• Training is important!
• Upskill yourself so you feel confident.
• Think of training as a process not an event.
• Provide a variety of training opportunities for all staff.
• Encourage a super-user on your admin team.
• Find a champion doctor in your practice.
• Have the answers ready – you know they’ll ask!
• Source reliable information for your answers
– we don’t know what we don’t know!
On Demand Training Environment:
Log on anytime and practise with a ‘test’ patient.
Available at http://www.nehta.gov.au/using-the-my-health-record-system
Training Environment
What are your main
barriers to increased use
of the My Health Record
system?
Poll Question:
What are your barriers?
5. Implement quality improvement activities
What are your strategies?
Data Quality checklist
5. Implement quality improvement activities
Promote a progressive culture with digital health usage.
Practice Management monthly reporting on stats.
Promote a culture of healthy competition with data quality
Quality Improvement project (for accreditation) on data quality.
6. Lessons Learnt
1. Gradual evolution towardscritical mass
6. Lessons Learnt from NT Experience
2. Becoming embedded into
routine clinical and
administrative workflow
NEHTA, “MyEHR to National eHealth Record Transition Impact Evaluation,” National E-health Transition Authority Ltd, 10 Jul 2015.[Online]. Available: http://www.nehta.gov.au/get-started-with-ehealth/ehealth-benefits/case-studies/northern-territory/918-myehr-to-national-ehealth-record-transition-impact-evaluation
Evaluation of NT Feedback from clinicians:
"I've been obsessive with MeHR since it first came in because of everything I can see. It saves you so much trouble, so much time." GP
"Without the MeHR you couldn't have made the same decision" Registered Nurse & Midwife
It took 5 and half years of continual and sustained change effort in NT before tipping point occurred.
Now providers rely on a shared record service as a mechanism to overcome the fragmentation of health information.
Evaluation of NT eHealth showed strong evidence of benefits attributable
“The amount of information as it built up,
built the clinicians' confidence in using it.” Department Director
6. Lessons Learnt – Great Southern
Dual adoption approach –connected community complimented by
national coordination
6. Lessons Learnt – Great Southern
Connecting a Community
Relationships with Practice Managers.
Team meeting in each practice to discuss appropriate workflow.|
Encourage a super-user on the nursing and admin teams.
Find a champion GP in the practice.
Network & share success stories –what’s worked at other practices?
Practice Nurse & Practice Managers Community group meetings.
Community awareness/events.
6. Lessons Learnt – Great Southern
Embed assisted registration into practice processes.
Have a variety of information resources available.
Embed into process eg change templates and forms, prompt
Training is Important!
Provide training for all staff, not just doctors.
Mixture of face-to-face and online training & support.
Prepare dialogue for reception staff & role-play until confident
Encourage use of ‘On-Demand’ Training Environment.
6. Lessons Learnt
A positive Practice Manager can make all the difference!
Questions?
Where to get help?
•Call the NEHTA Help Centre on 1300 901 001 or email [email protected]
•Visit www.myhealthrecord.gov.au for information on the My Health Record system and promotional resources
•View the Software Demonstrations on the NEHTA website http://www.nehta.gov.au/for-providers/ehealth-support-tools/software-demonstrations
